| NPI | 1043746225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11787) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M7710) |
| 208000000X Pediatrics (Licence: TX M7710) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2024-09-17 |